KENNETH WAYNE FORD

LA CROSSE, WI
NPI1609880848
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WI  11324040)
Enumeration Date2006-07-27
Last Update Date2007-07-08
Business Address
MR. KENNETH WAYNE FORD R.PH.
528 CASS ST
LA CROSSE, WI 54601-4507
Phone number: 608-784-9922
Mailing Address
MR. KENNETH WAYNE FORD R.PH.
N753 E HILLS RD
LA CROSSE, WI 54601-2275
Phone number: 608-784-9922
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